title: 'A terrible dream'--case of idiopathic pituitary insufficiency presenting as prolonged delirium in a rural hospital.
abstract: BACKGROUND
  A 75-year-old female presented to a rural hospital with prolonged delirium, and the diagnosis was idiopathic pituitary insufficiency.
  
  
  OBJECTIVE
  Delirium is a common medical presentation but diagnostic pathways can be challenging in rural practice.
  
  
  CONCLUSIONS
  Delirium can be reversible if a treatable aetiology is detected.
authors.affiliation: Barwon Health, Geelong, Victoria, Australia. christopher.mcaulaypowell@gmail.com.
authors.forename: Christopher D
authors.initials: CD
authors.lastname: McAulay-Powell
authors.forename: N Deborah
authors.initials: ND
authors.lastname: Friedman
mesh_terms: D000368:Aged; D003693:Delirium / Q000150:complications* / Q000453:epidemiology; D003937:Diagnosis, Differential; D004802:Eosinophilia / Q000453:epidemiology; D005260:Female; D006780:Hospitals, Rural; D006801:Humans; D007018:Hypopituitarism / Q000175:diagnosis* / Q000209:etiology*; D007022:Hypotension / Q000453:epidemiology; D009503:Neutropenia / Q000453:epidemiology